Winter Programs & March Break 2018 Registration
DIGI-FIT Registration Form (Fall 2017)
Add another student
Game Design & Programming
One student only. Please add another line for siblings.
Coding & Robotics Weekly Class : Thursdays 5:30-6:30 PM monthly plan $149
Coding & Robotics Weekly Class : Thursdays 5:30-6:30 PM 3 month plan $372
March Break Camp (Mar. 12-16; standard hours 9:00-4:00) $349
March Break Camp (Mar. 12-16; with extended care 7:30-6:00) $435
Add another program
Parent's Full Name
How did you learn about Genius Owl services?
Word of mouth
Your flyers/business cards
Other (please specify)
What was your Google search word(s)?
What's the main social media platform you use?
Incl. HST & 3% credit card fee
Use Interac & Save 3%
to choose your bank and transfer the Interac fee above to firstname.lastname@example.org. Please include the secret word you used in the box here:
: you will be taken to a PayPal screen to complete payment. You don't need a PayPal account.
TERMS & CONDITIONS: please review and initial the following before continuing to payment.
WAIVER: In consideration of my (and/or my child(ren) and our guests') participation in this activity, I hereby release and discharge Genius Owl Digital Media and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I (he/she/they) may suffer as a result of my (our) participation in this activity. I (we) also will follow the rules and regulations set by Genius Owl Digital Media and above named parties. Parent or guardian must sign for anyone age 18 and under.
I do hereby grant and give these groups the right to use my or my child(s) photograph or image with or without my or my child's name, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto.
I acknowledge that I have carefully reviewed and consent to the waiver set forth above. Please check the box first and then initial here:
Please note: without a valid payment, your registration is not valid.